Active NPI
Upper Darby Family Pharmacy LLC
- Community/Retail Pharmacy
- Upper Darby, PA
National Provider Identifier
1790052702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP482231
- Legal business name
- UPPER DARBY FAMILY PHARMACY LLC
- Practice address
- 6756 Market St
Upper Darby, PA 19082-2432 - Phone
- (610) 352-2121
- Fax
- (610) 352-2204
- NPI assigned
- Nov 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Canh Nguyen, RPH
- Title
- President
- Phone
- (610) 352-2121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PP482231 | PA | Primary |
Addresses
Primary practice location
6756 Market St
Upper Darby, PA 19082-2432
Mailing address
6756 Market St
Upper Darby, PA 19082-2432
Phone (610) 352-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PP482231 | Other | PA | PHARMACY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120829000718 | PA | DME Supplier - Pharmacy | 3375790132 | Practice locations: Upper Darby, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Upper Darby Family Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
6756 Market St
Upper Darby, PA 19082
Phone (610) 352-2121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347321600000",
"number": "1790052702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6756 MARKET ST",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190822432",
"telephone_number": "610-352-2121",
"fax_number": "610-352-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6756 MARKET ST",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190822432",
"telephone_number": "610-352-2121",
"fax_number": "610-352-2204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPPER DARBY FAMILY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-18",
"last_updated": "2012-09-11",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "CANH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-352-2121",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP482231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "PP482231",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upper Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.